NAZARETH CHILDRENS HOME (NPI# 1568622249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568622249 |
| Entity Type | Organization |
| Organization Name | NAZARETH CHILDRENS HOME |
| Practice Address |
7920 Red Road Rockwell NC 28138 |
| Mailing Address |
Po Box 1438 Rockwell NC 28138-1438 |
| Practice Telephone | 7042795556 |
| Practice Fax Number | 7042795439 |
| Mailing Telephone | 7042795556 |
| Mailing Fax Number | 7042795439 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MS. JACQUELINE LEIGH MILLICAN (AVP OF FOSTER CARE SERVICES) |
| Authorized Official Telephone | 7042795556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL080173 | NC | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629232475 | Nazareth Childrens Home | Foster Care Agency | 725 Crescent Rd, Rockwell, NC 28138-7515 | 2008-07-10 |
| Street Address |
7920 RED ROAD |
| City | ROCKWELL |
| State | NC |
| Zip Code | 28138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447536792 | David Andrew Maxwell | Psychologist | 110a East Main Street, Rockwell, NC 28138 | 2011-11-01 |
| 1518240183 | Keri Privette Wetherington | Pharmacist | 8765 Nc Hwy 52, Rockwell, NC 28138 | 2011-09-21 |
| 1801199120 | Deresha M. Simmons | Counselor | 1190 Safe Haven Lane, Rockwell, NC 28138 | 2010-12-08 |
| 1710294012 | Nazareth Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 725 Crescent Road, Nazareth Children's Home, Rockwell, NC 28138 | 2010-09-08 |
| 1407940042 | Cresent Pharmacy | Pharmacist | 314 E. Main St., Rockwell, NC 28138 | 2006-10-03 |
| 1922583111 | Anya Loraine Dobbs | Counselor | 110 E. Main St, Rockwell, NC 28138 | 2018-10-03 |
| 1497207815 | Shelly Bingham Batts | Pharmacist | 314 E. Main St., Rockwell, NC 28138 | 2016-11-02 |
| 1417370818 | Ascend Psychological Services, Pllc | Counselor | 110a East Main Street, Rockwell, NC 28138 | 2014-01-22 |
| 1730482894 | Crescent Pharmacy of Rowan Inc. | Pharmacy | 314 E Main St, Rockwell, NC 28138 | 2010-12-13 |
| 1376846691 | Katherine A. Mcswain | Counselor | 1190 Safe Haven Lane, Rockwell, NC 28138 | 2010-12-08 |
| Find all providers in zip 28138 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710294012 | Nazareth Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 725 Crescent Road, Nazareth Children's Home, Rockwell, NC 28138 | 2010-09-08 |
| 1467574947 | Nazareth Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 725 Crescent Rd, Rockwell, NC 28138-7515 | 2007-04-04 |
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|---|---|---|---|---|
| 1023617255 | Creative Helping Hands LLC | Residential Treatment Facility, Emotionally Disturbed Children | 478 Green Lake Rd, Rockingham, NC 28379-7850 | 2020-10-19 |
| 1083237986 | Revive Housing LLC | Residential Treatment Facility, Emotionally Disturbed Children | 210 Sunset Dr Apt 615, Salisbury, NC 28147-7147 | 2020-05-26 |
| 1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
| 1821631532 | Marquita Latrice Walls | Residential Treatment Facility, Emotionally Disturbed Children | 1565 Longbranch Rd, Grover, NC 28073-9599 | 2019-10-25 |
| 1699233866 | A Brighter Path LLC | Residential Treatment Facility, Emotionally Disturbed Children | 120 Jetter Rd, Grover, NC 28073-9687 | 2019-03-06 |
| 1821562224 | Carter Clinic, Pa | Residential Treatment Facility, Emotionally Disturbed Children | 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 | 2019-01-18 |
| 1659842607 | Gervonia Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1714 Aster Ln, Gastonia, NC 28054-8303 | 2018-12-16 |
| 1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 1104346881 | Inspiration for Us | Residential Treatment Facility, Emotionally Disturbed Children | 1205 W Mountain St, Kernersville, NC 27284-2173 | 2017-06-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.